Healthcare Provider Details

I. General information

NPI: 1760482517
Provider Name (Legal Business Name): ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 COLLEGE AVE
MANHATTAN KS
66502
US

IV. Provider business mailing address

1823 COLLEGE AVE
MANHATTAN KS
66502
US

V. Phone/Fax

Practice location:
  • Phone: 785-776-3322
  • Fax: 785-776-1988
Mailing address:
  • Phone: 785-776-3322
  • Fax: 785-776-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH081003
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number2-09568
License Number StateKS

VIII. Authorized Official

Name: ROBERT COPPLE
Title or Position: SENIOR ADMINISTRATOR
Credential:
Phone: 785-776-2831